1913 W Sevilla Blvd 2014 roof CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J � ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001096 Date 7/09/14
Property Address . . . . . . 1913 W SEVILLA BLVD
Application type description ROOF PERMIT
Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT
Application valuation . . . . 8050
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Application desc
reroof
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Owner Contractor
_
_ ------------------------
FEDERAL NATIONAL MORTGAGE ASSO GR20TD WHITE
CONSTRUCTION INC
1001 SEMMES AVE
RICHMOND VA 23224 JACKSONVILLE FL 32216
(904) 838-1659
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Permit . . . . . . ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 95 . 00 8050
Issue Date Valuation
Expiration Date 1/05/15
Other Fees
STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
_ _ ---------- ---------- ---- --
00 . 00
Permit Fee Total 95 . 00 95 . 00 00 . 00
Plan Check Total . 00 . 00
4 . 00 4 . 00 . 00 . 00
Other Fee Total
Grand Total 99 . 00 99 . 00 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: m0a dcun eu col/w/ ermit Number:
Legal Description/
�arcel# /70 -
Ov PloorAreaot sq.Ft. q kt
Valuation of Work$ W . Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration RepairaRe,id,nt!ia:10)
lition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial If an existing structure,is a fire sprinkler system installed?(Circle one N/A
Florida Product Approval#LIN xLA,16
For multiple products use product approval form
Describe in detail the type of work to be performed:oze- 2-L-0 + 3Q:�q • sl a'
Property Owner Information
Namef-Q ' & 1(�/ j ln N _OffCAddress: � 30K (/D� 3
City l Stab A r
,done - 31 y- S
406
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: h I'� 6C1 t
QualifyingCAgent: State fie
Address: City VV P
Office Phone (/$- Job Site/ ontacet�rGVl - # 1" -7 (P - t-{
State Certification/Registration# CCC 13 a�1 OCI 7
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thppis jurisdiction. This permit becomes null
and work isc ommenced.rk is ot commenced I understandNthat sepaithin six rate perm ism or st be secured for Electricalconstruction or work is pWork,Plumbinended or g Signs,or aWelLs,P eriod ols uinaces,Boilemonths at rs,Heaters,
Heaime after
t s,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type oI work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state,or local law regulating construction or`theepperformance ojconstruction.
Signature of Owner L• lNV Signature of Contractor c�'�
Print Name ...� rl.•..1........ . L:(�.. Print Name G V..1�...........J�Ca.t4 D tt....._........._._...._....
Sworn to and subsc d�iefore me Sworn p and subscribed�efore me J
this I Day of 1 20 L this Day of l.L��l .201 q
A^�
r Public otary Pu tc
Revis126.10
STEPHANIE LYNNE BLANCHARD
MY COMMISSION#FF115171
ASHLEY RIDGEWAY
EXPIRES April 22, 2018 �' Notary Public-State o1 Florida
a;r;;
398-0153 FloridallotaryService.com My Comm.Expires Jun 20,2017
" Commission x FF 29966
Doc # 2014152248, OR BK 16838 Page 1854, Number Pages: 1 , Recorded
07/09/2014 at 11 :41 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
NOTICE OF COMMENCEMENT
;PREPARE iN Etu+t:sCATE"
Pan,lit?0o. Tax Fotio 14,,16487-00260
Stare of Picaitlfs County of t3u.at
To whom it may concern'
The err;dersigned.herebg informs you that improvements will be made to cetzain real property,and in
accordance with Section 713 of the Florida$tatutas,ttte fo#iowinginformation is stated in this NOTICE of
COMMENCEMENT.
Legala,cr tirrt�+fpt feitfbeing<rnproved -&08-25-2$E Sevilla Gardens til'titf 1
1943 W Ssv:ila Boulevard AWhft Beach Jacksonville,FL 32233 --
Ad f'GSs of properly being,+�ipruued: 4943 W Sevi:la 9eu:vard AdAntic Beach Jade Orville,FL 32.'�3
tarnerai s ess tun of imptoverrerft.Re-Roof
Owner Federal National Mortgage ASSOCiat3on
A,:W,mas 1.001 Semmes Avenue Richmond VA 23224
a'gtter,5 inlerast ire site d the isiiisrUvantrnt C)WftBr
Fee SirnC,.'e Ptieholder(if other t?W1 O ATW)
Name._._
Address -
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Add,rse
Pho"Na. Ftsx
Surety V attyt
Address - Amount of bond 3
phrasxs.:Nfl. _ —Fax NO.
:dame and-address of arsy pArson Msk a loan for the cc^atravtian of the imYrovc menf5c
Ad'ifess
Phone"40. Fax No.
name of person ,+h=n tee.Stale of Fioeida,other f;en hvself,design cried try owner upon whom no'i,es or other
docurmE:ets.roy be served:
Name -
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to edd.4iDn fa r:,'rnseY;��;ner ies:gnates ?se#b�r3':uinq F�>cn In receive s ea:py of:ttsrs t-iEtvtDi s Notica�s,,rc�tisied:ln
'b),Florida s,(Fill in at Cwnet'�rpf ni.
wec11o+7 7,3.fia Ma
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F•hoae llo: Fax No.
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diolere�jt data is specified).AtjWAjj,20j4
?HIS SPACE FOft tECC3RDE3t'S --
-USEONLY7 OWNER
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